Embryo transfer is a risk factor for severe postpartum hemorrhage and blood transfusion requirement
Autor: | Mitsuru Matsushita, Hiroko Konno, Shohei Noguchi, Takeshi Murakoshi, Minako Matsumoto |
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Rok vydání: | 2017 |
Předmět: |
Adult
medicine.medical_specialty Blood transfusion medicine.medical_treatment macromolecular substances 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors medicine Humans Blood Transfusion 030212 general & internal medicine Risk factor Retrospective Studies 030219 obstetrics & reproductive medicine Assisted reproductive technology business.industry Obstetrics Postpartum Hemorrhage Obstetrics and Gynecology Embryo Transfer Embryo transfer Case-Control Studies Pediatrics Perinatology and Child Health Female business |
Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 32:879-882 |
ISSN: | 1476-4954 1476-7058 |
Popis: | This study aimed to investigate the risk factors for severe postpartum hemorrhage (PPH) and blood transfusion requirement that are recognizable during any period of pregnancy.We retrospectively reviewed the medical data of 4829 pregnant women who received care and delivered at our institution between July 2010 and March 2015. The cohort was divided into patients with and without severe PPH. Multivariate logistic regression analysis was performed to assess risk factors associated with severe PPH. The same analysis was repeated for blood transfusion requirement.A total of 127 (2.7%) patients had severe PPH and 43 (0.87%) required blood transfusion. The multivariate logistic regression analysis demonstrated that embryo transfer (odds ratio [OR] 2.6; p .001), uterine myoma (OR 2.0; p .01), prior uterine surgery (OR 1.9; p = .03), prior cesarean section (OR 1.8; p = .01), and maternal age (OR 1.5; p = .03) were independent risk factors for severe PPH. Embryo transfer was an independent risk factor for blood transfusion requirement (OR 3.1, p .001).Embryo transfer is a risk factor for both severe postpartum hemorrhage and blood transfusion requirement. |
Databáze: | OpenAIRE |
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